Become a patient

Your choice to better care

Welcome to Well Care Community Health, where all individuals are welcome regardless of insurance or ability to pay.

To become a new patient, please provide the following information. 


Please Provide


  • 1

    Proof of household income, such as: a pay stub, child support,  Social Security/Disability, TANF.

  • 2

    Picture ID, such as driver’s license.

  • 3

    List of current prescription medications. You may write these on the Patient History sheet.

  • 4

    Provide copy of insurance, Medicare or Medicaid card. (Discounted fees available to patients who qualify, based on household size and income.)


Forms


Welcome Packet

English

Spanish